Shelby M Godwin, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

4274 Issued in TN

Practice address

5653 Frist Blvd Ste 738
Hermitage, TN 37076-2066

Phone

(615) 320-0007

Fax

(615) 383-6329

NPI assigned

Aug 7, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Shelby M Vogel Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Pain & Spine Center, PLLC

  • Pain Clinic/Center
  • Nashville, TN
  • NPI 1891375770
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1194335836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210127",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372210127",
            "telephone_number": "615-320-0007",
            "fax_number": "615-383-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 FRIST BLVD STE 738",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762066",
            "telephone_number": "615-320-0007",
            "fax_number": "615-383-6329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 22nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031844",
            "country_code": "US",
            "telephone_number": "615-320-0007",
            "fax_number": "615-383-6329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "SHELBY",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "4274",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "4274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "VOGEL",
            "middle_name": "M",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gillispie Eye Care PLLC
• James David Gillispie, O.D.
• Brittany Morie Girton Hernandez, CPM-TN
• Amanda Githaiga, CD
• Camelia Godinez
• Goldenyearcaregivingllc
• Hailey Good
• Bruce Randolph Goodman, MD
• Vallaree Goodwin, FNP-BC
• Jessica Gore, PA-C

• Surgical Physician Assistant in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Surgical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.